Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 04-38354 | KS |
Y | 207P00000X | Emergency Physician | 29836 | OK |
NPI | 1003159690 |
---|---|
Provider Name | Mr. Michael Daniel Figueiredo |
First Address | Tulsa, OK 74135-2536 |
Second Address | Tulsa, OK 74135-2536 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2013 |
Last Update Date | 15/12/2016 |